Enzalutamide

Uses	Prostate cancer
Therapy	Anti-Neoplastic
Side Effects	Fatigue, back pain, diarrhoea, weakness, dizziness, headache

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Molecule Description

Enzalutamide is used in the treatment of metastatic castration-resistant prostate cancer (mCRPC) that has progressed on or after docetaxel therapy. It works by blocking the effects of hormones, leading to the death of cancer cells. The doctor determines the dose and duration of this treatment. Before starting, inform your doctor if you have diabetes, seizures, liver or kidney issues, or if you are taking any medications for infections. Other medicines can affect or be affected by this medication, so inform your doctor about all your medications. This medicine is not recommended during pregnancy or while breastfeeding. It is vital for both males and females to use effective contraception during treatment to prevent pregnancy. You may be required to undergo regular monitoring of blood glucose levels while receiving treatment.

Uses

For the treatment of adults with metastatic castration-resistant prostate cancer (mCRPC) whose disease has progressed on or after Docetaxel therapy.

Contraindications

When should one not use Enzalutamide

Known allergy to any ingredients of this medicine
If you are pregnant or may become pregnant

Side effects

Common side effects of this drug are:

Fatigue
Back pain
Diarrhoea
Weakness
Dizziness
Headache

Precautions and Warnings

Pregnancy

Enzalutamide should be strictly avoided during pregnancy.

Breast Feeding

Enzalutamide should be strictly avoided during breastfeeding.

Driving

Enzalutamide may lead to psychiatric and neurological symptoms like seizures, confusion, lethargy, visual disturbances. Hence caution is advised before driving.

Alcohol

Interaction of Enzalutamide and alcohol is not known. Consult a doctor before using alcohol with this medicine.

Other General Warnings

Talk to your doctor if

You have abnormal kidney, liver and heart function
You have a clotting disorder
You have cancer and/or undergoing chemotherapy
You are taking Warfarin/Anticoagulant therapy

Mode of Action

How Does It Work?

Enzalutamide acts by inhibiting the function of androgens (hormones like testosterone). Enzalutamide inhibits the growth and division of prostate cancer cells by inhibiting androgens.

Interactions

Interactions with other medicines

CYP2C8 inhibitors like gemfibrozil increases the concentration of Enzalutamide
CYP3A4 inhibitor itraconazole increases the action of Enzalutamide
CYP2C8 and strong CYP3A4 inducer rifampin decreases effect of Enzalutamide
Enzalutamide decreases the synthesis of midazolam, warfarin, and Omeprazole
Simultaneous use of Enzalutamide with quinidine, disopyramide, amiodarone, sotalol, dofetilide, ibutilide, antiarrhythmic medicinal products, methadone, moxifloxacin, antipsychotics can prolong the QT interval (Abnormal heart rhythm disorder with chaotic heart beats)

Dosage

Overdose

Visit a doctor or the nearest hospital immediately, in case of an overdose.

Missed a Dose

In case of a missed dose, take next dose at scheduled time. Do not take more doses than recommended.

Frequently Asked Questions (FAQs)

Males with female partners should use a condom or any effective contraception during treatment, and for 3 months after the last dose of Enzalutamide has been taken.

It is best to discuss with your physician about any possible interactions of Enzalutamide and herbal medicines before using both together.